DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chapman, Carl G	DOIID	311518	NAIC NPN	565429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/12/1999	4/30/2007
Inactive	Non Resident	Agent	Health	7/12/1999	4/30/2007
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	7/12/1999	4/10/2007
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	7/12/1999	4/10/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/17/2000	4/30/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/17/2000	4/30/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/20/2000	4/30/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/2/2001	7/13/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hornor Townsend & Kent LLC	400531	Agent - Life	2/27/2003	5/31/2003
Inactive	Hornor Townsend & Kent LLC	400531	Agent - Health	2/27/2003	5/31/2003